Evidence map›Paper›PMID 34337474›Full record

ArticleEuropean urology open science2020

Impact of Retzius-sparing Versus Standard Robotic-assisted Radical Prostatectomy on Penile Shortening, Peyronie's Disease, and Inguinal Hernia Sequelae.

Keith J Kowalczyk, Meghan Davis, John O'Neill, Harry Lee, Joanna Orzel, Rachel S Rubin, Jim C Hu

Open access · goldAbstract read
In one paragraph

Article in European urology open science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Keith J KowalczykDepartment of Urology, MedStar Georgetown University Hospital, Georgetown University Medical Center, Lombardi Cancer Center, Washington, DC, USA.
Meghan DavisDepartment of Urology, MedStar Georgetown University Hospital, Georgetown University Medical Center, Lombardi Cancer Center, Washington, DC, USA.
John O'NeillDepartment of Urology, MedStar Georgetown University Hospital, Georgetown University Medical Center, Lombardi Cancer Center, Washington, DC, USA.
Harry LeeDepartment of Urology, MedStar Georgetown University Hospital, Georgetown University Medical Center, Lombardi Cancer Center, Washington, DC, USA.
Joanna OrzelDepartment of Urology, MedStar Georgetown University Hospital, Georgetown University Medical Center, Lombardi Cancer Center, Washington, DC, USA.
Rachel S RubinDepartment of Urology, MedStar Georgetown University Hospital, Georgetown University Medical Center, Lombardi Cancer Center, Washington, DC, USA.
Jim C HuDepartment of Urology, Weill Cornell Medicine, New York, NY, USA.
Georgetown University · USCornell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetzius-sparing robotic-assisted radical prostatectomy (RS-RARP) has improved urinary function compared with standard robotic-assisted radical prostatectomy (S-RARP). As RS-RARP spares the dorsal vascular complex, pelvic fascia, and anterior abdominal fascia, it may also lower the incidence of "neglected" postprostatectomy sequelae such as penile shortening, Peyronie's disease, and inguinal hernias.

objectiveTo determine whether there are patient-perceived differences in penile shortening, Peyronie's disease, and inguinal hernia rates among men undergoing RS-RARP versus S-RARP. DESIGN SETTING AND

participantsResearchers uninvolved in clinical care and blinded to surgical approach surveyed 60 RS-RARP versus 57 S-RARP men with validated patient-reported items to assess penile shortening, Peyronie's disease, and inguinal hernia sequelae following surgery.

interventionRS-RARP versus S-RARP. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Univariate differences between the two cohorts were analyzed using Student RESULTS AND LIMITATIONS: RS-RARP was associated with less patient-reported penile shortening (41.7% vs 64.9%,

conclusionsRS-RARP is associated with less patient-reported penile shortening and may decrease the risk of Peyronie's disease and postoperative inguinal hernia development. These new findings add to research, showing improved urinary continence and quality of life following RS-RARP; however, a prospective study is needed to validate these findings. PATIENT SUMMARY: Retzius-sparing robotic-assisted radical prostatectomy (RS-RARP) is an evolving surgical technique for prostate cancer treatment, which has shown improved postoperative urinary control compared with the standard technique, likely due to preservation of natural pelvic anatomy. Our findings suggest that the preservation of normal pelvic anatomy during RS-RARP may also reduce the risk of postprostatectomy penile shortening, Peyronie's disease, and inguinal hernia.

Indexed as

Inguinal herniaPeyronie’s diseaseRetzius-sparing prostatectomyRobotic-assisted surgerySexual function

Identifiers

PMID34337474
PMCPMC8317841
OpenAlexW3093627373

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.